Bojanus proved Spiræa, taking substantial doses. A leading symptom was the
production of heat, general and local. Heat in throat;
in sophagus; under manubrium sterni; under ensiform cartilage. Bojanus was seized with
remorse, a kind of morbid conscientiousness. Fulness and heaviness of head. Washing with
cold water was very unpleasant, and caused a feeling as if the head were too large. A scurfy
condition of eyelids and heaviness of lids after siesta cl were noted. The urine was turbid
as if mixed with clay, and deposited red sand; had an oily film on the surface. Hansen
mentions Spir. as having been recommended in
hydrophobia, epilepsy, and eclampsia. The burning in sophagus was >
by eating and drinking but not by empty swallowing. Symptoms were <
indoors; > in open air. <
Moving head. < Sneezing. >
Moving about.

SYMPTOMS.

1. Mind.─

At 1 a.m. was attacked with remorse over
a long-past slight indiscretion, with most fearful qualms of conscience and loathing of
himself; could not rest on account of it, obliged to rise and walk about.

2. Head.─

Vertigo with heat in cheeks.─Headache:
< shaking head; with increased warmth of body, as if
blood flowing more rapidly through vessels; > towards
evening. Dulness and heaviness in head with pressive headache.─On lying
down at 11 p.m. sensation like vertigo, as if all senses vanished and all blood left the
head, with a prickling in face.─Pain over whole head as if a ring were
tightened about head with heaviness; on shaking head, brain seemed to wabble to and fro.─After
washing, head felt large.─Pressive headache and fulness in forehead, < in house, > in open
air.

3. Eyes.─

Eyes full of mucus, dried to crusts on
waking.─Lachrymation of l. eye, increased warmth in it; sclerotic bright
red.─On waking lids so heavy cannot open them for a long time.─Sensation
as if something hot mounted to eyes, causing biting and burning and sensation as if tears
would flow, but they did not.

6. Face.─

Face red.─Sensation
as if blood mounted to face with increased heat.

8. Mouth.─

Slight drawing toothache in l. back
teeth.

9. Throat.─

Increased warmth in pharynx, extending
down to stomach; burning pressure in sophagus, generally >
at night; > eating and drinking, not on empty
swallowing.─Sensation as if sophagus too small, constricted.─Cold
sensation in sophagus extending to both sides of chest.─Warmth in
sophagus opposite the manubrium sterni.

11. Stomach.─

No relish for smoking.─Frequent
eructations.─Burning in small spot beneath ensiform cartilage as if
something hot or acrid had been taken.

12. Abdomen.─

Frequent emission of very offensive
flatus.─Movings and gripings in hypogastrium during stool.─After
eating moving in navel.

13. Stool and Anus.─

Prickling, crawling, sticking
in rectum and anus.─Prickling, constrictive sensation long after stool.─Frequent
desire for stool, that suddenly disappeared.─Stool delayed, evacuated
with pressure and straining, hard, scanty, like sheep's dung.─About 10
p.m. somewhat hard stool, accompanied and followed by burning and soreness in the anus, and
a sensation as if the anus were drawn up into rectum and something hard were still remaining
there.

14. Urinary Organs.─

Burning at orifice of urethra
while urinating during stool.─Urine bright yellow when passed, becomes
cloudy, forming a deposit like clay with red, gritty sand.

15. Male Sexual Organs.─

In morning in bed,
violent erections with great sexual desire.

17. Respiratory Organs.─

At 7 p.m. cough, at first
dry, afterwards loose, with tickling and scraping in throat, that continued long after the
cough.─On inspiration air of room seemed very cold as if he had been
chewing peppermint.

18. Chest.─

Pressure beneath manubrium sterni as
if he had swallowed too large a morsel; or a large piece of hard-boiled egg.